The journey to becoming a radiologic technologist in California involves navigating specific academic, certification, and state-level licensing requirements. The state of California, with its unique regulatory environment, requires candidates to fulfill obligations that go beyond the national standards for the profession. This guide details the step-by-step process, from educational foundations to securing the necessary credentials.
What Does a Radiologic Technologist Do?
A radiologic technologist performs diagnostic imaging examinations to create images of the human body for medical analysis. These professionals operate sophisticated imaging devices, ensuring the correct technical factors are set to produce high-quality images while minimizing patient radiation exposure. Technologists work in various settings, including large hospital imaging departments, outpatient clinics, and specialized diagnostic centers.
The role involves extensive patient interaction, requiring technologists to explain procedures, position patients correctly, and monitor them for safety and comfort throughout the imaging process. Technologists may also assist radiologists during more complex procedures, such as fluoroscopy, which involves live-action X-ray imaging. Technologists often evaluate the technical quality of the images and participate in departmental quality control measures.
Educational Requirements for Technologists
The formal educational path for a radiologic technologist typically begins with an Associate of Science (AS) or a Bachelor of Science (BS) degree in Radiologic Technology. These programs generally take two years to complete. The curriculum combines classroom instruction in subjects like human anatomy, pathology, radiation physics, and patient care with extensive clinical training.
Selecting an educational institution accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) is necessary. JRCERT accreditation ensures the program meets national standards for curriculum and clinical competency, which is a prerequisite for both national certification and state licensure. Students enrolled in these programs gain hands-on experience by completing mandatory clinical rotations in affiliated healthcare facilities under the direct supervision of licensed technologists.
Before entering a radiologic technology program, students often complete prerequisite coursework in areas such as college-level mathematics, biology, chemistry, and physics. Upon graduation, the academic institution provides the necessary documentation of program completion, which is required to apply for the subsequent licensing examinations.
Required California Licensure and National Certification
Practicing as a radiologic technologist in California requires two distinct credentials: a state license and national certification. The mandatory state license is known as the Certified Radiologic Technologist (CRT) certificate, which is issued by the California Department of Public Health’s Radiologic Health Branch (CDPH-RHB). This license authorizes an individual to legally operate diagnostic X-ray equipment on human beings within the state. The application for the CRT certificate, typically form CDPH 8200, must be submitted to the state along with a non-refundable application fee.
The American Registry of Radiologic Technologists (ARRT) certification is the national standard and is virtually always required by California employers. The ARRT examination is a comprehensive test of radiologic knowledge and is the primary route to obtaining the CRT license. For Diagnostic, Therapeutic, and Mammographic CRT applications, the CDPH-RHB accepts successful passage of the ARRT examination in the corresponding subject category in lieu of a separate state-administered exam.
All applicants for the CRT, regardless of their national certification status, must also take a separate Fluoroscopy examination if they intend to perform fluoroscopic procedures. The ARRT administers this fluoroscopy exam on behalf of the CDPH-RHB, which then issues a separate Radiologic Technologist Fluoroscopy Permit. Both the CRT certificate and any associated permits must be renewed every two years, and the renewal process involves satisfying specific continuing education requirements.
To maintain their license, technologists must complete 24 approved Continuing Education (CE) credits every two years, with specific content requirements. For example, four of these credits must focus on digital radiography to reflect current technology in the field. Technologists holding a Fluoroscopy permit must also complete four CE credits related to radiation safety for the clinical use of fluoroscopy. The state requirements ensure that California’s technologists remain current with both technological advancements and patient safety standards.
The Job Search and Career Outlook in California
The career outlook for radiologic technologists in California remains positive, driven by the state’s large and aging population, which increases the demand for diagnostic imaging services. Salaries in the state are generally higher than the national average, reflecting the elevated cost of living, particularly in metropolitan areas. Average annual salaries for experienced technologists can range significantly, with some specialized roles reaching well over $119,600, though entry-level positions are often closer to the $76,220 mark.
Geographic location profoundly affects compensation, with technologists working in high cost-of-living areas like the San Francisco Bay Area and Southern California typically earning more than those in rural regions. A strong resume and professional portfolio that highlights clinical experience and technical proficiency are beneficial. Networking through professional organizations and clinical contacts can also provide a significant advantage in the competitive job market.
Career advancement often involves pursuing specialized certifications, which expand a technologist’s scope of practice and earning potential. Post-primary certifications, such as those in Computed Tomography (CT), Magnetic Resonance Imaging (MRI), or Mammography, are highly valued by employers.

